NPI | 1467516567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: LA 24539) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 24539) |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX 9959) | |
Enumeration Date | 2006-12-21 |
Last Update Date | 2021-06-29 |